Department of Rehabilitation Research, Reade, Centre for Rehabilitation and Rheumatology (formerly Jan van Breemen Institute), Amsterdam, Netherlands.
BMC Musculoskelet Disord. 2011 Oct 5;12:218. doi: 10.1186/1471-2474-12-218.
A wide variety of cognitive concepts have been shown to play an important role in chronic widespread pain (CWP). Although these concepts are generally considered to be distinct entities, some might in fact be highly overlapping. The objectives of this study were to (i) to establish inter-relationships between self-efficacy, cognitive coping styles, fear-avoidance cognitions and illness beliefs in patients with CWP and (ii) to explore the possibility of a reduction of these cognitions into a more limited number of domains.
Baseline measurement data of a prospective cohort study of 138 patients with CWP were used. Factor analysis was used to study the associations between 16 different cognitive concepts.
Factor analysis resulted in three factors: 1) negative emotional cognitions, 2) active cognitive coping, and 3) control beliefs and expectations of chronicity.
Negative emotional cognitions, active cognitive coping, control beliefs and expectations of chronicity seem to constitute principal domains of cognitive processes in CWP. These findings contribute to the understanding of overlap and uniqueness of cognitive concepts in chronic widespread pain.
大量认知概念已被证明在慢性广泛性疼痛（CWP）中发挥重要作用。尽管这些概念通常被认为是不同的实体，但实际上它们可能高度重叠。本研究的目的是（i）确定 CWP 患者的自我效能感、认知应对方式、恐惧回避认知和疾病信念之间的相互关系，以及（ii）探讨将这些认知减少到更有限数量的领域的可能性。
使用前瞻性队列研究的 138 例 CWP 患者的基线测量数据。因子分析用于研究 16 种不同认知概念之间的关联。
因子分析产生了三个因素：1）负性情绪认知，2）积极的认知应对，3）控制信念和慢性期望。
负性情绪认知、积极的认知应对、控制信念和慢性期望似乎构成了 CWP 中认知过程的主要领域。这些发现有助于理解慢性广泛性疼痛中认知概念的重叠和独特性。
